In een bericht met de datum 13-9-2006 21:25:34 West-Europa (zomertijd), 
schrijft odysseas at sysnetint.com:


> 
> Hello,
> 
> Are there any documents anywhere that describe or compare and contrast the 
> OpenEHR initiative and the HL7 EHR effort? I have seen a couple of 
> references 
> to the fact that there are efforts to achieve harmonization but I was 
> wondering if there is a detailed comparison anywhere.
> 
> We are in the process of working through the OpenEHR specification documents 
> and implementation code as well as the specification documents coming out of 
> the HL7 EHR effort so, I was wondering if there are is a study of some sort 
> that would assist us in the process of making the comparison and 
> establishing 
> the association.
> 
> Thanks,
> Odysseas
> 
> Odysseas Pentakalos, Ph.D.
> Chief Technology Officer
> SYSNET International, Inc.
> 
> _______________________________________________
> openEHR-technical mailing list
> openEHR-technical at openehr.org
> 


You could  look at the NEHTA website for their paper that compares standards, 
including CEN 13606 (OpenEHR) and HL7 v2 and HL7 v3.

There is an OpenEHR presenation / paper for the MIE 2006 conference, tackling 
some of the differences

HL7 / CEN and ISO work together on a 13606-HL7 v3 R-MIM that does the 
conversion, it is currently developed as an implementation guide.

There are comments from the Netherlands to CEN about the 13606 (available at 
the CEN website) in which some brief comparison is included.

Most people compare the 13606 OpenEHR materials with the HL7 RIM. However, 
that is the wrong level to compare, appropriate would be to compare with the 
HL7 
v3 Care Provision D-MIM derived from the RIM, because this is focused on the 
EHR extract and on the full Record exchange message.

In general: OpenEHR / 13606 RIM is the most generic / a-specific model level, 
could potentially be used for shipbuilding records, supermarkets and 
healthcare records
HL7 v3 RIM is more detailed in such that it covers health care specific 
classes and relationships
D-MIMs are made of the HL7 v3 RIM virtual bricks to become meaningful domain 
models
derived from D-MIMs are the R-MIMs which are subsets for specific message 
purposes.

on the detailed level the archetypes in CEN 13606 and in HL7 v3 the templates 
and R-MIMs for specific care statements,  cover the smallest molecules of 
clinical data. 
examples of the latter can be found at www.zorginformatiemodel.nl 

A problem with the archetype approach (see the definition of this in open EHR 
and 13606) is that it does not address the clinical vocabulary which is 
included in HL7 v3 R-MIM approaches and 
it does not tackle the clinical knowledge base that explains why some data 
have to fit together and why a relationship has to be kept. (E.g. for 
scientific 
instruments and scales).

Hope this helps,


dr. William Goossen
co- chair HL7 v3 patient care TC


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